JUSTIN RYAN DAVIS (NPI# 1740630904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740630904 |
| Entity Type | Individual |
| Full Name | JUSTIN RYAN DAVIS |
| Practice Address |
12561 Wardline Rd Hammond LA 70401-6212 |
| Mailing Address |
Po Box 2162 Hammond LA 70404-2162 |
| Practice Telephone | 9855205697 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184258790 | Justin B Davis | Chiropractor | 52 Heritage Ct, Woodcliff Lake, NJ 07677-8347 | 2020-02-24 |
| 1770984320 | Justin Davis | Occupational Therapist | 1719 Chapel Tree Cir, Brandon, FL 33511-9326 | 2014-09-12 |
| 1811300718 | Justin N Davis | Nurse Anesthetist, Certified Registered | 2610 S Rockingchair Rd, Paragould, AR 72450-9609 | 2014-06-09 |
| 1609189513 | Justin Michael Davis | Chiropractor | 9370 Sw Greenburg Rd # 605, Tigard, OR 97223-5442 | 2010-07-20 |
| 1114240843 | Justin Elijah Davis | Chiropractor | 607w Chandler St, Arlington, MN 55307-2127 | 2010-03-09 |
| 1043853302 | Justin William Davis | Nurse Practitioner | 110 W John Rowan Blvd, Bardstown, KY 40004-2663 | 2019-10-18 |
| 1437714375 | Justin Davis | Student in an Organized Health Care Education/Training Program | 600 Highland Ave, Madison, WI 53792-0001 | 2019-05-06 |
| 1437631330 | Justin Davis | Nurse Practitioner | 1700 S Tamiami Trl, Sarasota, FL 34239-3509 | 2018-09-06 |
| 1710464094 | Justin Davis | Behavioral Analyst | 1900 Embarcadero Ste 310, Oakland, CA 94606-5227 | 2018-07-19 |
| 1205327525 | Justin W Davis | Surgery | 1200 Pleasant St, Des Moines, IA 50309-1406 | 2018-05-22 |
| Street Address |
12561 WARDLINE RD |
| City | HAMMOND |
| State | LA |
| Zip Code | 70401-6212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629441118 | Crystal Yvette Cunningham | Counselor | 12561 Wardline Rd, Hammond, LA 70401 | 2015-11-05 |
| 1982198735 | Nathaniel Showers | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-15 |
| 1003300955 | Carnette Jackson | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-14 |
| 1407349723 | Antranetta Brown | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-11 |
| 1184117830 | Bralyn Uba | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-07 |
| 1477046126 | Constance Johnson | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-07 |
| 1417449539 | Rasha' Malkina Showers | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-04 |
| 1336631449 | Jamonica Nunnery | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-04 |
| 1164914289 | Shakara Tyson | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-04 |
| 1154813277 | Yolanda M Gray | Case Manager/Care Coordinator | 12561 Wardline Rd, Hammond, LA 70401-6212 | 2018-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245855659 | Tabita Hooper | Dentist | 2807 W Thomas, Hammond, LA 70401 | 2020-06-11 |
| 1689200826 | Thomas Michael Nedow | Specialist/Technologist | 500 W University Avenue, Hammond, LA 70401 | 2020-03-19 |
| 1861025041 | Jonte Bernard | Specialist/Technologist | 1150 N General Pershing, Hammond, LA 70401 | 2020-02-17 |
| 1275196156 | Monica Rome Thompson | Case Manager/Care Coordinator | 1312 N Morrison Blvd, Hammond, LA 70401 | 2019-04-17 |
| 1740752864 | Katelyn D Ennis | Case Manager/Care Coordinator | 1312 N. Morrison Blvd., Hammond, LA 70401 | 2018-12-31 |
| 1396215257 | Breyanna Johnson | Case Manager/Care Coordinator | 1312 North Morrison Blvd, Hammond, LA 70401 | 2018-12-04 |
| 1134695331 | Shanquel Antonet Mckay | Case Manager/Care Coordinator | 1312 N. Morrison Blvd, Hammond, LA 70401 | 2018-10-16 |
| 1598243412 | Brooke Lynn Boggs | Preventive Medicine | 800 North Hazel St., Hammond, LA 70401 | 2018-08-02 |
| 1811499197 | Ashley Daytora Cohn | Counselor | 15043 Woodstone Dr Apt 226, Hammond, LA 70401 | 2018-03-02 |
| 1790207645 | Angela D Dillon | Counselor | 12261 Patrina Ln, Hammond, LA 70401 | 2017-07-12 |
| Find all providers in zip 70401 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155782 | Winthrop Christian Walker Jr. | Specialist/Technologist, Other | 65241 Highway 1058, Roseland, LA 70456-2105 | 2020-02-11 |
| 1447759337 | Kimberly Brown | Specialist/Technologist, Other | 13755 River Road, Luling, LA 70070 | 2018-02-06 |
| 1114314564 | Innovative Sleep Solutions | Specialist/Technologist, Other | 507 Porter St, Saint Martinville, LA 70582-3442 | 2015-04-23 |
| 1043610330 | Michael Hernandez | Specialist/Technologist, Other | 971 Maple Creek Dr, Slidell, LA 70461-5341 | 2014-08-25 |
| 1376883678 | Ynohtna Marketta Tureaud | Specialist/Technologist, Other | 8233 John Leblanc, Sorrento, LA 70778 | 2013-02-22 |
| 1053686451 | Brenda J Primeaux | Specialist/Technologist, Other | 18399 Johnny B Hall Memorial Hwy, Rosepine, LA 70659 | 2012-03-19 |
| 1366505612 | Phelo Joseph Keller | Specialist/Technologist, Other | 1300 Lakewood Dr Suite D, Morgan City, LA 70380 | 2006-12-18 |
| 1407489750 | Auxilio Neuro-monitoring Services, LLC | Specialist/Technologist, Other | 1374 Knollwood Dr, Baton Rouge, LA 70808-8647 | 2020-02-14 |
| 1225416647 | Laura Vaughn | Specialist/Technologist, Other | 317 Smith Reed Rd, Lafayette, LA 70507-2605 | 2015-05-18 |
| 1356758775 | Virgie Kay Ingles | Specialist/Technologist, Other | 100 Medical Center Dr, Sleep Disorders Center, Slidell, LA 70461-5520 | 2014-07-17 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.